As feds cut key fee, Indiana Medicaid chief warns changes needed to avoid ‘catastrophic situation’
The leader of Indiana's Medicaid program says the state must change up a widely used low-income health insurance program as the federal government slashes a key funding source over the next five years. The phase-down is one way President Donald Trump's administration is pushing health costs back onto states. Last year's One Big Beautiful Bill Act also increases state shares for other aspects of Medicaid and for food aid. "Changes in the hospital assessment fee will have a material, but not catastrophic, effect on the budget," said Secretary Mitch Roob, whose Family and Social Services Administration administers Medicaid in Indiana. "And we need to recognize that … this budget cycle and begin planning for that, so we don't end up in a catastrophic situation in 2032." At a quarterly financial meeting Tuesday, Roob revealed early projections produced with consultant Deloitte. They'll be…